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Registration Question• Which of the following five do you think is the leading cause ofdeath in the US?• Cancer• Alzheimer’s Disease• Heart Disease• Accidents• Stroke4Stroke3%Heart Disease94%Cancer1%Alzheimers Disease0%Accidents2%YOUR ANSWERS

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General ObservationsCaloric needs tend to decrease with agewhile nutrient needs may increase.Caloric needs may increase relative tochronic disease(e.g., cancer) orhyperactivity(e.g., excessive walking, pacing, involuntarymovements, wounds).Daily consumption of 1500-2000 calories willmaintain weight for most older adults,500 calories a day either as addition or adeduction will usually promote a change inthe weight pattern of an individual.

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Nutritional Interventions for Dementia:Provideadequatecalories andprotein• Make sure to snack and use liquidmeal supplements if an individual is notconsuming enough during meal time.Use creativefeedingtechniques• Have finger foods available to snackon as individuals walk aroundthroughout the day.• E.g. Availability of a favorite snackfood of individualAllowadequatetime foreatingBestPracticeSuggestions

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ABCS Initiative:Heart Disease & Stroke PreventionHeart disease and stroke are the first and third leading causes ofdeath among men and women.Risk factors are largely controllable and preventable.A• AspirinTherapy (ifappropriate)B• BloodPressureManagementC• CholesterolManagementS• SmokingCessation

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Reduce sodium intake!• 1 in 3 U.S. American’s have high BP (Blood Pressure).Half of them do not have it under controlGeneral Recommendations:• BP goal: Less than 120/80 mmHg• Sodium Intake: 1,500 mgCook at home more. Try to eat foods that are low in sodium or have no salt added. Limitsauces, mixes, and "instant" products, like flavored rice and ready-made pasta.B• BloodPressureManagementABCS Initiative:Heart Disease & Stroke Prevention

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Smokers are reported having a 70% greaterchance of dying of heart disease thannon-smokers.General Recommendations:• Do not smoke.• Support smoke-free policies in yourcommunity and try to avoid secondhandsmokeABCS Initiative:Heart Disease & Stroke PreventionS• SmokerCessation

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Discussion Questions• What are barriers to inclusion for proper nutrition for the agingpopulation?• How would you overcome them?• How would you improve medication efficacy in older adults?• Ex: How would you maximize the positives and minimize the sideeffects?

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Food for Thought•Social isolation also has negative health outcomes.It can lend itself to:• Nutritional deficits• Poor medication management• Lack of exercise• Depression•Do you think there is a correlation among thesefactors and high blood pressure, high cholesterol,and smoking?

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Wrap Up and QuestionsPhone: (804) 828-1565Website: http://www.sahp.vcu.edu/gerontology/Email: agingstudies@vcu.eduBe sure to “like” us on Facebookhttps://www.facebook.com/vcugerontology